A detector arrangement is disclosed for a blood culture bottle incorporating a colorimetric sensor which is subject to change of color due to change in pH or CO2 of a sample medium within the blood culture bottle. The detector arrangement includes a sensor led illuminating the colorimetric sensor, a reference led illuminating the colorimetric sensor, a control circuit for selectively and alternately activating the sensor led and the reference led, and a photodetector. The photodetector measures reflectance from the colorimetric sensor during the selective and alternating illumination of the colorimetric sensor with the sensor led and the reference led and generates intensity signals. The reference led is selected to have a peak wavelength of illumination such that the intensity signals of the photodetector from illumination by the reference led are not substantially affected by changes in the color of the colorimetric sensor.
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4. A method for detection of colorimetric sensor incorporated in a blood culture bottle, the colorimetric sensor subject to change of color due to change in pH or CO2 of a sample medium within the blood culture bottle comprising the steps of:
alternately and repeatedly illuminating the colorimetric sensor with a sensor led and a reference led;
storing in computer memory a calibration relationship between intensity signals for the reference led as a function of distance of the bottle from a home position in relation to the sensor led, reference led, and photodetector;
measuring reflectance from the colorimetric sensor due to the illumination of the colorimetric sensor by the sensor led and reference led with a photodetector, the photodetector responsively generating intensity signals;
determining a distance of the bottle from the home position based on the intensity signals; and
compensating for a drop in intensity signals from the sensor led due to the bottle being positioned a distance away from the home position in accordance with calibration relationships for the sensor led and the reference led;
wherein the reference led is selected to have a peak wavelength of illumination such that the intensity signals of the photodetector from illumination by the reference led are not substantially affected by changes in the color of the colorimetric sensor and wherein the peak wavelength of illumination of the reference led is below about 490 nm.
1. A detection system for blood culture bottle incorporating a colorimetric sensor subject to change of color due to change in pH or CO2 of a sample medium within the blood culture bottle, comprising:
a sensor led illuminating the colorimetric sensor;
a reference led illuminating the colorimetric sensor;
a control circuit for selectively and alternately activating the sensor led and the reference led; and
a photodetector, the photodetector measuring reflectance from the colorimetric sensor during the selective and alternating illumination of the colorimetric sensor with the sensor led and the reference led and generating intensity signals;
a computer comprising machine executable instructions, wherein the machine executable instructions are configured to:
receive the intensity signals from the photodetector; and
determine a distance of the bottle from a home position based on the intensity signals,
the computer including a non-transitory memory storing a calibration relationship between intensity signals for the reference led as a function of distance of the bottle from the home position in relation to the detection system,
wherein the non-transitory memory further stores a calibration relationship between intensity signals for the sensor led as a function of distance of the bottle from the home position and wherein the machine executable instructions are configured to compensate for a drop in intensity signals from the sensor led due to the bottle being positioned a distance away from the home position in accordance with calibration relationships for the sensor led and the reference led,
wherein the reference led is selected to have a peak wavelength of illumination such that the intensity signals of the photodetector from illumination by the reference led are not substantially affected by changes in the color of the colorimetric sensor, and
wherein the peak wavelength of illumination of the reference led is below about 490 nm.
2. The detection system of
3. The detection system of
5. The method of
6. The method of
7. The method of
8. The method of
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This application is a continuation-in-part of application Ser. No. 13/185,898 filed Jul. 19, 2011, which claims priority benefits under 35 U.S.C. §119 (e) to U.S. Provisional Patent Application No. 61/400,001 filed Jul. 20, 2010, which is incorporated herein.
Bottles for culturing of blood for the presence of microorganism and related instruments for analyzing such bottles in a noninvasive manner are known in the art and described in the patent literature. See U.S. Pat. Nos. 5,858,769; 5,795,773; 4,945,060; 5,094,955; 5,164,796; 5,217,876; and 5,856,175. The bottles and instruments of the above-listed patents have been commercialized with success by the present assignee under the trademark BacT/ALERT.
The bottles described in these blood culture instruments utilize colorimetric sensors placed in the bottom of the bottle and in contact with the sample media to determine the presence/absence of bacterial growth. Once a clinical/industry sample is added to the liquid growth media present in the bottle and incubation occurs, the concentration of carbon dioxide increases as the number of microorganisms increase; carbon dioxide is a respiration by-product of bacterial growth. Alternatively, changes to the media pH that are related to the growth of microorganisms can also be monitored by the sensor. The basic operation of the BacT/ALERT sensor and monitoring electronics is described in U.S. Pat. No. 4,945,060 and also in an article by Thorpe et. al. in “BacT/Alert: an Automated Colorimetric Microbial Detection System” which was published in the Journal of Clinical Microbiology, July 1990, pp. 1608-12. The '060 patent and the Thorpe et al. article are incorporated by reference here.
The basic colorimetric sensing system described in the '060 patent is shown in
When the silicon photodetector (5) of
While the BacT/ALERT sensing system of
Likewise, as the instrument ages in the clinical laboratory, the optical system may collect dust or optical materials experience reduced transmissivity as a function of time. For example, as plastics age, their transmissivity can be reduced by the effects of light, particulate buildup (dust) or repeated use of cleaning agents. These effects would not affect readings but would manifest as a drift in the response of the system. Periodic calibration checks could compensate for this drift. Thus, there is a long-felt but unmet need to have a real-time monitor of the transmission in the optical system and the capability to adjust or compensate for some of these sources of error, particularly the situation where the bottle is not fully installed in the receptacle and is not at the nominal or home position (has some Z-axis displacement away from the optical detector arrangement).
Other prior art of interest includes the following U.S. Pat. Nos. 7,193,717; 5,482,842; 5,480,804; 5,064,282; 5,013,155; 6,096,272; 6,665,061; 4,248,536 and published PCT application WO 94/26874 published Nov. 24, 1994.
An improved detection arrangement for blood culture bottle incorporating colorimetric sensors is disclosed.
The detection arrangement includes photodetector, a sensor LED and a reference LED, and a control circuit for selectively and alternately activating the sensor LED and the reference LED to illuminate the colorimetric sensor. The sensor LED functions like the LED of
The reference LED is useful to indicate if the distance between the bottle and the detector subassembly changes, ambient lighting conditions change, or anything within the physical optical path between the sensor LED, the bottle and the photodetector changes. Since a change in the reference LED is not dependent on the state of the colorimetric sensor, the reference LED can provide information about changes in the optical system that are not related to microorganism growth so that such non-growth related changes from the system can be discriminated from growth-related changes. This feature helps reduce the false-positive rate in the system and improves sensing accuracy and reliability.
In use, the sensor LED and reference LED are illuminated alternately and repeatedly, e.g., in a time division multiplexed manner. The photodetector signals from such sequential illuminations are fed to a computer. The computer monitors changes in the photodetector signal when the reference LED illuminated; these changes would indicate a change in the bottle position or the optical system. The computer can compensate the sensor LED signals according to derived calibration relationships between the sensor LED and reference LED signals, e.g., due to offset of the bottle position in the detection system from a home or nominal position.
The invention involves the use of secondary LED as a light source to compensate for non-Liquid Emulsion Sensor (LES) changes to the optical system. A block diagram of the optical configuration is shown in
As noted above, the LEDs 4 and 10 are oriented at a 45 degree angle relative to the bottom of the bottle. This is so that the reflection off of the bottom surface of the bottle is not strongly coupled into the photodetector 5. The angle of incidence=angle of reflection so that light striking the bottle bottom will exit off at 45 degrees and will not strongly affect the photodetector reading (since scattered light from the LES is only of interest). The LEDs have a spatial emission angle of 15-17 degrees; i.e., the LEDs emit light in a cone that is defined by Peak Emission and Full-Width angle at half maximum power; the angle of the cone is in the range of 15-24 degrees.
Testing was performed on a variety of LED colors, and it was found that the signal of the photodetector for near-infrared LEDs (peak wavelength from 750-950 nm) were marginally effected by the LES color changes. All other wavelengths of light had a negative or positive change in reflectivity as the CO2 level was changed from 0% to 100%. This effect minimizes at wavelengths beyond about 750 nm (near-infrared LED) as is shown in Table 1.
TABLE 1
Photodetector output (volts) with CO2 spiked bottles
For sensing (RED) LED and reference (IR) LED
CO2
Sensing LED
Reference LED
Level
Samples
Mean
Std. Dev.
Mean
Std. Dev.
0%
390
0.65838
0.00045
2.32539
0.00045
2%
390
0.84627
0.00048
2.25763
0.00048
15%
390
1.29105
0.00047
2.40419
0.00048
100%
390
1.92822
0.00063
2.29345
0.00050
In order to study the changes in the optical signal as a function of the bottle position in relation to the optical system, a calibration/test fixture was constructed consisting of a digital micrometer that is attached to the BacT/ALERT bottle. The bottle is first placed in the normal (home) position in the BacT/ALERT rack assembly so that it is as close to the optical system as is possible. Readings of the reflectance are taken, then the bottle is displaced by adjusting the micrometer. The micrometer provides precise small adjustments to the z-axis displacement (i.e. it moves the bottle further from the optical system) so that the effects of displacement can be quantified. The normalized change in optical signal as a function of the displacement is shown graphically in
TABLE 2
Detector_output (Signal) = 0.2652 − 0.2554x
R2 = 0.9963
Detector_output(Reference) = 0.5621 − 0.2384x
R2 = 0.9999
Where x = the linear displacement distance (in inches)
Accordingly, by mapping the change in intensity of the reference LED's output, a displacement value can be determined. Applying that value to the signal LED's output, the amount of intensity reduction can be quantified and compensated for.
A further test of the capabilities of the detector arrangement of
Memory 40 stores the calibration constants and relationships between the reference and signal LED outputs, derived from curves such as
Compensation for dust, drift, changes in the optical system, and aging of the optical materials in the beam path are also possible with the arrangement of
Blue Spectrum Reference LEDs
As noted above, it has also been found that the reference LED 10 (
This particular reference LED produces a minor change in readings from the colorimetric sensor (2,
The blue wavelength of the reference LED also has some characteristics with its interaction with the colorimetric sensor 2 (
Note that in
In the event there is a physical displacement of the bottle in its incubator cell from its nominal or home position, or some other unanticipated change to the optical system occurs, the photodetector signal during illumination from the sensor LED 4 will drop as shown in
TABLE 3
Relationship of trended LED signals
Blue LED signal
Blue LED signal
decreases
increases
Red LED signal increases
NORMAL condition
Bottle movement
Red LED signal decreases
Bottle movement or
Fault condition
optical signal changes
Note: In Table 3, “blue LED signal” means photodetector 5 signal output during illumination of the colorimetric sensor by the blue reference LED 10,
While the above discussion of
In theory, the detector arrangements of this disclosure would work even where the bottle 1 is opaque. The optical system should function with no changes in signal unless the optical system changes. However, with shorter wavelengths for the reference LED (below 400 nm) activation of biological fluorophores present in the sample can occur, causing noise in the detected signal. LEDs are available in emission wavelength down to 240 nm currently; however, the power is low and they are expensive. Reference LED's of around 365 nm may be a practical lower limit using existing electronics for signal gain in the sensing and reference channels since LEDs below this wavelength typically do not have a lot of optical power. In any event, LEDs in the lower (shorter) regions of the spectrum could be made to work using appropriate materials, electronics to handle lower signal values and known methods for elimination of noise in a photodetector signal, e.g., from sources other than the colorimetric sensor such as the bottle, fluorophores present in the bottle material, or autofluorescence in the sample itself.
All questions concerning scope of the invention are to be determined by reference to the appended claims.
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